Active NPI
Physiocore Fitness & Rehab., Inc.
- Orthopedic Physical Therapist
- Coral Gables, FL
National Provider Identifier
1972719128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 18986
- Legal business name
- PHYSIOCORE FITNESS & REHAB., INC.
- Practice address
- 1565 Sunset Drive
Coral Gables, FL 11343-5642 - Phone
- (786) 271-3033
- Fax
- (305) 668-9109
- NPI assigned
- May 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Dorys Herrera, P.T.
- Title
- President
- Phone
- (305) 668-9108
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 18986 | FL | |
| Neurology Physical Therapist | 2251N0400X | 18986 | FL | |
| Sports Physical Therapist | 2251S0007X | 18986 | FL | |
| Orthopedic Physical Therapist | 2251X0800X | 18986 | GA | Primary |
Addresses
Primary practice location
1565 Sunset Drive
Coral Gables, FL 11343-5642
Mailing address
1565 Sunset Drive
Coral Gables, FL 33143-5528
Phone (305) 668-9108
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18986 | Other | FL | PHYSICAL THERAPIST |
National Provider Directory
National Provider DirectoryLocations
1565 Sunset Dr
Coral Gables, FL 33143
Phone (305) 667-2597
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Coral Gables, FL
- NPI 1487860961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263427200000",
"number": "1972719128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1565 SUNSET DRIVE",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331435528",
"telephone_number": "305-668-9108",
"fax_number": "305-668-9109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1565 SUNSET DRIVE",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "113435642",
"telephone_number": "786-271-3033",
"fax_number": "305-668-9109"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSIOCORE FITNESS & REHAB., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-15",
"last_updated": "2010-01-14",
"status": "A",
"authorized_official_last_name": "HERRERA",
"authorized_official_first_name": "DORYS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-668-9108",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "FL",
"license": "18986",
"primary": false
},
{
"code": "2251N0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Neurology",
"state": "FL",
"license": "18986",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Sports",
"state": "FL",
"license": "18986",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": "GA",
"license": "18986",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST",
"identifier": "18986",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.